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Individual

DR. WALTER BRUCE KANE II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1455 COLLINGSWOOD AVE, MARCO ISLAND, FL 34145-5833
(248) 851-5633
(248) 851-5634
Mailing address
29226 ORCHARD LAKE RD, SUITE # 130, FARMINGTON HILLS, MI 48334-2984
(248) 851-5633
(248) 851-5634

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
34.003071
OH
207X00000X
Orthopaedic Surgery Physician
5101006877
MI
207X00000X
Orthopaedic Surgery Physician
Primary
OS4124
FL

Other

Enumeration date
07/02/2008
Last updated
07/02/2008
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